Individual provider · Type 1 NPI

Kristen M. Dietert, CRC

Addiction (Substance Use Disorder) Counselor · Evans, GA

NPI number 1023644465 Active

Practice location

927 Hunting Horn Way W
Evans, GA 30809-4829

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X946 (GA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023644465

Kristen M. Dietert, CRC's National Provider Identifier is 1023644465, issued on Mar 17, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Evans, GA. The record was last updated on Mar 17, 2020.